---
title: "Referring Doctors"
url: "https://powayperio.com/referring-doctors/"
post_type: "page"
date_published: "2016-06-07T22:09:28-07:00"
date_modified: "2023-07-22T00:20:46-07:00"
---

# Referring Doctors

Periodontal Referrals
			
				
				
				
				
				Referring Your Patients to our office
			
				
				
				
				
				Referring Your Patients to our office
			
				
				
				
				
				Go to Form 
			
			
				
				
				
				
			
				
				
				
				
				
				
				
				
				
				
				Dr. Khansari and his team are honored to treat your referral patients. We realize that a patient referral is an extension and reflection of your own care, and we sincerely appreciate your confidence in us. We will work with your patient to provide the best periodontal care and treatments.
We understand that the referral and treatment process can be challenging for both the patient and their dentist. Our team pledges to make the process as seamless, safe and rewarding as possible, and we firmly believe that open lines of communication are critical in the multidisciplinary approach to dental care.
When your patients are referred to our office, we pledge to:

Always care for your patient with dignity and respect.
Always do what we believe is right and in the patient’s best interest.
Support your patient’s health care decisions with education and compassion.
Provide an open and safe atmosphere that promotes communication and encourages patients to fully participate in the treatment decision process.
Keep our education and techniques up-to-date so we continue to be the leading periodontal practice and implant dentists in the area.

You may fax, email or send your patient with a completed referral form.
Contact Information
Address: 12630 Monte Vista Rd Ste. 204, Poway 92064.
Phone: 858-679-0142
Fax: 858-679-0165
We are happy to help you fight periodontal disease and get your teeth and gums back to good health. If you have more questions or would like to book a consultation, we’re happy to discuss your individual situation.
			
			
				
				
				
				
				
				
				
				
				
				

                
                        CompanyThis field is for validation purposes and should be left unchanged.Patient's Name:Patient Phone:Referring Doctor:Teeth To Be Treated:Consultation and Treatment Requested For:
								
								Isolated/Resistant pocket(s)
							
								
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								Crown Lengthening
							
								
								Mobility
							
								
								Implant Supported Crown
							
								
								Evaluation for Possible Fracture
							
								
								Prior Restoration
							
								
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								Other
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